Heart Failure Evaluation and Management
Deborah’s electrophysiology services are devoted to the evaluation, consultation and treatment of complex cardiac arrhythmias including atrial fibrillation and flutter, supraventricular tachycardia including Wolff-Parkinson-White-Syndrome and ventricular tachycardia. Electrophysiology studies assist Deborah’s doctors in determining where rhythm disturbances originate and to identify the specific type of arrhythmias involved.

Comprehensive device therapy is also included in the EPS service. Pacemaker and defibrillator implants as well as lead extractions are offered for standard indications. Biventricular devices are now available for emerging indications including congestive heart failure. Deborah has an outpatient service dedicated to both pacemaker and defibrillator evaluation and complex programming.

The section also offers a complete work-up for neurogenic syncope including tilt table testing. Another service provided by the electrophysiologists is the reading and interpretation of Holter monitors and the reporting of these findings to the referring physicians.

Resynchronization Therapy
Deborah’s specialists are performing Resynchronization Therapy as a treatment option for people with congestive heart failure. An ‘implanted biventricular device’ similar to a pacemaker or defibrillator synchronizes the beating of the hearts ventricles, sending blood into the arteries and on through the body. In heart failure patients, this along with the right medications may lead to a dramatic improvement in quality of life.

Radiofrequency Ablation
Deborah performs radiofrequency ablation, a procedure used to treat adults and children with complex cardiac arrhythmias. Included in these services are atrial and supraventricular tachycardia, Wolff-Parkinson-White Syndrome, atrial fibrillation and flutter.

Arrhythmia Evaluation and Treatment
Deborah’s electrophysiologists perform a comprehensive diagnostic evaluation using EKG, electrophysiology studies, tilt table testing and Holter monitoring. These tools assist the physician in identifying the arrhythmia and appropriate treatment for any basic or complex arrhythmia. The treatment may be as simple as medication, or more complex, such as pacemaker/AICD therapy, or radiofrequency ablation. This evaluation is done on an inpatient as well as outpatient basis.

Pacemaker/AICD
Deborah’s electrophysiologists specialize in the implantation of sophisticated programmable pacemakers and defibrillators to treat a variety of rhythm disturbances. The major diagnoses are brady and tachy arrhythmias. Pacemakers are implanted in a patient with a slow heart rate, while an Implantable Cardioverter Defibrillator is a treatment option for patients who suffer with ventricular tachycardia and ventricular fibrillation. The electrophysiologists are also performing lead extractions on patients when indicated. This service treats ambulatory care patients as well
as inpatients.

Deborah’s electrophysiologists specialize in the evaluation and treatment of complex cardiac arrhythmias. The physicians also specialize in the implantation of sophisticated programmable pacemaker, defibrillator and biventricular devices. The reading and interpretation of Holter monitor reports are another service provided by the electrophysiologists. The Section also offers a work-up for neurogenic shock including tilt table testing. All of the electrophysiology services are available to patients on an inpatient and outpatient basis. Deborah offers a full spectrum of electrophysiologic services to its patient population.

Tilt Table Testing
This test is used to evaluate neurally mediated syncopal syndromes. The test helps to distinguish between a vasodepressor response and cardioinhibitory response, thereby establishing the most appropriate treatment program for the patient.